School of Nursing, National University of Ireland Galway, Galway, Ireland.
Int J Older People Nurs. 2012 Mar;7(1):65-9. doi: 10.1111/j.1748-3743.2012.00311.x.
Autonomy is an important concept because it brings dignity to peoples' lives, regardless of physical circumstances. The United Nations (UN) Madrid International Plan of Action on Ageing emphasises the need to include older adults in autonomous decision-making processes. However, many older people living in residential care find that their autonomy is curtailed. This is largely because autonomy for older people is poorly understood, and hence, nurses working with older people need to become clear about what autonomy is and how it can be facilitated. In this, the first of three papers, the literature is reviewed specifically to establish the meaning of autonomy for older people in residential care as opposed to autonomy in a wider context. This important distinction may help nurses working with older people to begin to facilitate autonomy more effectively.
自主性是一个重要的概念，因为它给人们的生活带来了尊严，无论身体状况如何。联合国（UN）马德里老龄问题国际行动计划强调需要让老年人参与自主决策过程。然而，许多居住在养老院的老年人发现他们的自主性受到限制。这主要是因为老年人的自主性理解不足，因此，与老年人一起工作的护士需要明确自主性的含义以及如何促进自主性。在这三篇论文中的第一篇中，文献专门进行了回顾，以确定居住在养老院的老年人的自主性与更广泛背景下的自主性的含义。这一重要区别可能有助于与老年人一起工作的护士更有效地促进自主性。
